GNYHA/UHF Educational Briefing: Recognition and Treatment of Severe Sepsis and Septic Shock

1. Registration Form

Details of the Briefing are as follows:

Friday, September 14, 2012
11:30 a.m.- 3:30 p.m.
GNYHA Conference Center
555 West 57th Street
New York, NY 10019

For questions about the briefing, contact Zeynep Sumer (zsumer@gnyha.org) or Alissa D'Amelio (adamelio@gnyha.org). For questions about registration, contact Rosanne Casey (rcasey@gnyha.org).

Question Title

* 1. Hospital Name:

Question Title

* 2. Please provide your registration information here:

First Name: *

Last Name: *

Title: *

Email Address: *

Phone Number: